Ascend Interest Survey

Ascend Interest Survey for Worksites
If you are interested in becoming a Worksite for our Year-Round and/or Summer 2025 Youth Programs, please complete the below survey. For more information on Work Experiences please contact Nicole Lillie at nlillie@westmiworks.org
Company Name*
Industry*
County*
Email*
example@example.com
Are you interested in participating as a worksite for our Summer 2025 youth work experience program?*

YesNo
Are you interested in participating as a worksite for our Year-Round 2025 youth programs? (Talent Tours, Work Experience, Job Shadow)*

YesNo
Have you participated in Ascend's summer program before?*

YesNo
Would you like a Program Overview of Ascend?*

YesNo
Do you have age restrictions on the work you would like Youth to do?*
Should be Empty:

Ascend Interest Survey for Worksites